| How to Use the Repertory James T. Kent
Ever since the appearance of my Repertory in print many
of my friends who use it have urged me tor write out my own method of using
a Repertory. I realize that it is a most difficult undertaking, but shall
attempt to explain my methods. I doubt not but most careful prescribers
will find that they are working in a similar manner.
The use of the Repertory in a homopathic practice
is a necessity if one is to do careful work. Our Materia Medica is so
cumbersome without a Repertory that the best prescriber must meet with only
indifferent results.
After the case has been properly taken according
to Hahnemann's rules it is ready for study. I do not intend to offer in
this manner the ordinary rubrics, because all know them so well. A case
that is well taken and ordinarily full will show morbid manifestations in
sensitiveness to many surroundings, such as weather, heat and cold, also in
the desires and aversions, mental symptoms and the various regions of the
body.
When I take up a full case for study, I single out all
the expressions that describe the general state, such as the aggravations
and ameliorations of the general state of the patient or of many of his
symptoms. I next consider carefully all his longings, mental and physical,
all the desires and aversions, antipathies, fears, dreads, etc. Next I look
for all the intellectual perversions, methods of reasoning, memory, causes
of mental disturbances, etc. All these I arrange in form together, in order
to set opposite each one all remedies in corresponding rubrics as found in
the Repertory. By the cancellation process it will soon be seen that only a
few remedies run through all these symptoms, and therefore only a few are
to be carefully compared in order to ascertain which one of all these is
most like the particular symptoms not yet lined up to be considered as the
first ones have been considered. Hahnemann teaches in the 153rd paragraph that we are to give
particular attention to such symptoms as are peculiar and characteristic.
He teaches also that the physician must pay his earnest attention to the
patient. Now if these two things are duly considered, it will be seen that
Hahnemann's idea was that a characteristic symptom is one that is not
common to disease but one that characterizes the patient. All the first lot
of symptoms singled out for a more comprehensive view are such as
characterize the patient, and are predicated of the patient himself. By
treating a portion of the symptoms in this way we have reduced the list of
possible remedies to a few or perhaps only one. As it is necessary to
consider the totality of the symptoms for a basis of the homopathic
prescription, it is now necessary to examine all the rest of the symptoms
in order to ascertain how these few remedies correspond with all the
particulars.
It may be said that the above is only routine work and
everybody does it just that way. True, but after so much has been accepted
the most intricate problems come up. To work out a well-rounded case is the
simplest part of Repertory work, but when one-sided cases appear and when
the patient states his symptoms in language that cannot be found in
provings the case is far different. The record of the patient should stand
as nearly as possible in his own language. From an extensive correspondence
and many years of teaching graduates, I have come to the conclusion that it
is a difficult matter for many to know when the record of symptoms contains
the possibilities of a curative prescription. Many cases are presented with
no generals and no mental symptomsabsolutely no characterizing
symptomsonly the symptoms common to sickness. When a successful
prescription is made on such symptoms it is scarcely more than a "lucky
hit". It cannot be classed as scientific prescribing. Many records are
presented with pages of vague description and one keynote that has served
as a disgraceful "stool pigeon" to call forth a failure from many
doctors.
Unless the symptoms that characterize
the patient are brought out in the record the physician should not be
surprised at a failure. The remedy must be similar to the symptoms of the
patient as well as the pathognomonic symptoms of his disease in order to
cure.
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